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1164622007
DEREK KEITH KELLY
FORT WORTH, TX
NPI
1164622007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: TX N1708)
Enumeration Date
2007-07-19
Last Update Date
2012-06-21
Business Address
-- DEREK KEITH KELLY MD
1400 8TH AVE
FORT WORTH, TX 76104-4110
Phone number: 817-922-7070
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Mailing Address
-- DEREK KEITH KELLY MD
1400 8TH AVE
FORT WORTH, TX 76104-4110
Phone number: 817-922-7070
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